Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid 
ADH promotes Urea/uric acid excretion along with water
Hyponatremia Differential ... Osmolarity 3) Urine Sodium ... High Uric Acid β†’ renal ... Diagnosis #Algorithm #nephrology ... #sodium #low #uricacid
General approach to AKI - Checklist

Urine electrolytes & FENa - Previously, it was believed that urine
believed that urine sodium ... FENa) could help differentiate ... between pre-renal ... and intrinsic renal ... AcuteKidneyInjury #Nephrology
Causes of Hypernatremia - Differential Diagnosis
Inadequate water intake:
 β€’ Lack of access to water
Extrarenal hypotonic fluid
Hypernatremia - Differential ... perspiration Renal ... Hypernatremia #Differential ... Diagnosis #Causes #nephrology ... #sodium #high
True Hyponatremia Differential Algorithm

Instead (or in addition) of volume status examination, check urine sodium and serum
True Hyponatremia Differential ... examination, check urine sodium ... acid: - Urine sodium ... #Hyponatremia #Differential ... Algorithm #Diagnosis #Nephrology
Hypernatremia Differential Diagnosis Algorithm - Diabetes Insipidus Workup

Step #1 - Consider the history
Step #2 - Assess
Hypernatremia Differential ... Hypernatremia #Management ... #Algorithm #Sodium ... #nephrology #insipidus
Mechanisms of nephron damage in cardiorenal syndrome
 β€’ Increased renal interstitial pressure
 β€’ Hypoperfusion
 β€’ Reduced
β€’ Increased renal ... Hypoperfusion β€’ Reduced renal ... hypertrophy β€’ Sodium ... pathophysiology #nephrology
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
β‰₯100): SIADH, Renal ... Sodium loss (diuretics ... #Hyponatremia #differential ... diagnosis #table #sodium ... #nephrology
Drugs associated with hypokalemia and hypomagnesemia

Hypokalemia
- Shift from extracellular fluid to intracellular fluid compartment
  -
overdose) - Sodium ... Extrarenal Laxatives - Renal ... pump inhibitor - Renal ... #Medications #differential ... #diagnosis #nephrology
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis
Baseline Investigations: full blood count with differential,
Algorithm and Differential ... blood count with differential ... , HIV serology, ... Workup #Algorithm #Differential ... #Diagnosis #nephrology
Hyperkalemia Treatment Options
Stabilize cardiac membrane:
 β€’ IV Calcium (peaks 5-10 minutes)
Decrease potassium concentration:
 β€’ IV Fluids
Shift
90 minutes) β€’ Sodium ... (if preserved renal ... #Hyperkalemia #management ... #potassium #nephrology